DEPARTMENT OF INSURANCE

Name	Josephsen, Jeremy	DOIID	781115	NAIC NPN	16628465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Casualty	11/6/2017	4/30/2019
Inactive	Non Resident	Agent	Property	11/6/2017	4/30/2019
Inactive	Non Resident	Agent	Personal Lines	5/4/2012	4/30/2015
Active	Non Resident	Staff Adjuster	Property & Casualty	7/28/2023		4/30/2025	Florida

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	9100 W Flamingo Rd Unit 2003 Las Vegas, NV 891476404

Phone Information

Type	Phone
Business / Home Office	(440) 566-7971